-Administer BB agents such as propranolol (inderal)
-Adjust dose dosage to be as low as possible, given in divided doses, or use long-acting formulations
-Advise PT to report to an increase in tremors, which could be a sign of lithium toxicity

Monitor plasma lithium levels while undergoing treatment. At initiation of treatment, monitor levels every 2-3 days until stable, and then every 1 - 3 months. Lithium blood levels should be obtained in morning - usually after 12 hr dose

- Slowing entrance of sodium and calcium back into neuron, thus extending time it takes for the nerve to return to its active state
Potentiating inhibitory effects of gamma butyric acid (GABA)
Inhibiting glutamic acid (glutamate) which in turn suppresses CNS excitation

Mood-Stabilizing Antiepileptic Drugs (AEDs) Therapeutic Uses

Used to treat manic and depressive episodes, as well as to prevent relapse of mania and depressive episodes. They are particularly useful for PTs w/mixed mania and rapid cycling bipolar disorders

Carbamzepine (Tegretol-AED) CNS effects

nystagmus, double vision, vertigo, staggering gait, headache

Carbamzepine (Tegretol - AED) CNS effects Nursing Intervention (NI)

-Administer low dosage first then gradually increase
-Advise symptoms should subsdie in few weeks
Admin dose at HS